Organization · Type 2 NPI

Mending Space PLLC

Clinical Social Worker · Springfield, IL

NPI number 1114756343 Active

Practice location

2501 Chatham Rd # 5487
Springfield, IL 62704-4188

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114756343

Mending Space PLLC's National Provider Identifier is 1114756343, issued on Jul 27, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Jul 27, 2024.